On 17 March 2017, SIAPS Ethiopia held a closing ceremony in Addis Ababa. Guests from partner government and non-government organizations, USAID, universities and health facilities were present at the event and expressed their appreciation for the systems strengthening work SIAPS has done in Ethiopia. SIAPS has been in Ethiopia for the last five years working […]
By Tsion Issayas, Communications Manager for SIAPS Ethiopia. This post originally appeared on MSH’s website. Aster Amanuel Desalegn lives in Debre Markos, 190 miles from the Ethiopian capital of Addis Ababa. She is a 70-year-old mother of four and grandmother of two. Her granddaughters, Emuye, 6, and Blen, 8, live with her. On a trip back […]
Technical Brief: Transforming Pharmaceutical Services in Ethiopia through Auditable Pharmaceutical Transactions and Services
MSH has implemented pharmaceutical management projects in Ethiopia since 2005, through the Rational Pharmaceutical Management Plus Project and the Strengthening Pharmaceutical Systems (SPS) Program and most recently the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program. The SIAPS Program (2011 to 2016) aims to reduce morbidity and mortality, primarily for HIV and AIDS, malaria, and priority conditions in MNCH.
One of the most successful SIAPS initiatives in Ethiopia is implementation of Auditable Pharmaceuticals Transactions and Services (APTS), a package of interventions that addresses accountability and transparency; access to information for decision making; efficient use of medicines budgets and human resources; and quality of pharmacy services—all of which affect the performance of hospitals in the public sector.
Selected Review of Training Approaches in the SIAPS Program: Bangladesh and Ethiopia Country Reports
Between 2011 and 2015, the SIAPS Program has trained more than 38,000 people in 20 countries. To understand the training approaches used and the results of the training, the SIAPS Program performed a multi-country review of individual capacity-building approaches. The objective of this review is to summarize the types of training that have been used by the SIAPS Program and examine the effects of the training on individual capacity. SIAPS Bangladesh and Ethiopia were selected for an in-depth review of SIAPS training activities. In Bangladesh and Ethiopia, participatory training methods with post-training practices and supervisory support were found more helpful than others. Most respondents also identified improved staff knowledge, skills, quality of work, and performance of the system as resulting from SIAPS training and interventions.
New Approaches and Tools Help Protect Patient Safety, Increase Access to Quality Medicines in Ethiopia
The SIAPS team has helped the Ethiopian Food, Medicine, and Health Care Administration and Control Authority (FMHACA) and many health facilities in the country incorporate product quality reporting into its national adverse drug event (ADE) reporting system. This has proven to be an efficient and cost-effective measure to detect products with problems in quality and […]
By Kelly Sawyer, Technical Associate – TB The SIAPS program, in collaboration with the Challenge TB project in Ethiopia, organized a national forecasting and quantification training on the QuanTB tool in September in Bishoftu town, Ethiopia. QuanTB, which SIAPS developed in 2013, is a downloadable electronic tool designed to improve Tuberculosis (TB) medicines procurement processes, ordering […]
Technical Brief: Improving Health Outcomes through Delivery of Patient-Centered Pharmaceutical Care by Pharmacists in Low- and Middle-Income Countries
Health systems in low- and middle-income countries have focused on managing acute infectious conditions, and pharmacy practices have typically focused on product-centered services rather than patient-centered care. However, these countries are experiencing an increasing burden of chronic communicable and non-communicable diseases, such as HIV and AIDS and cardiovascular diseases. Providing effective long-term care for chronic diseases requires pharmacy practices to strengthen patient counseling and adherence, and bolster linkages among clinical, laboratory, pharmacy, and other services. To respond to this need in pharmacy services, many countries are expanding their pharmacy practice from a model that centers on supplying and dispensing medicines to one that emphasizes the provision of patient-centered pharmaceutical care―and in collaboration with other health care providers―to support the achievement of better health outcomes.
National Assessment on the Status of Implementation of Clinical Pharmacy Services at Public Hospitals in Ethiopia
Clinical pharmacy is an area of practice in which pharmacists provide direct patient care that optimizes medication therapy and promotes health, wellness, and disease prevention. Trends in pharmacy practice elsewhere indicate that a gradual shift has taken place from product-focused to patient-oriented practice. In Ethiopia various efforts have been made to initiate clinical pharmacy services (CPS) in public health facilities. Some of these efforts include launching a postgraduate clinical pharmacy program, changing the undergraduate pharmacy curriculum, developing standards and guidelines, and providing in-service trainings. These efforts have led to initiation of CPS in a number of hospitals. The status of implementation of this service, its outcomes, challenges, and opportunities were assessed.
The assessment was conducted with the objective of evaluating the status of CPS implementation at selected public hospitals in Ethiopia to guide future government interventions to improve and sustain CPS.
This was a descriptive cross-sectional study that applied both quantitative and qualitative data collection methods. The study was conducted April 6–17, 2015, on a purposively selected group of 43 hospitals from five regional states and two city administrations of a total 65 hospitals that took part in the in-service training program. The hospitals were selected based on two criteria: participation in clinical pharmacy in-service training and their geographical accessibility. The data collection tool was designed to capture information that is essential to determine the overall successes and challenges in CPS implementation.
Systems for Improved Access to Pharmaceuticals and Services: Malaria Quarterly Update – January—March 2016
Working closely with the President’s Malaria Initiative (PMI) in both Washington and PMI- focus countries, the US Agency for International Development (USAID)-funded Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program aims to ensure the availability of quality pharmaceutical products and effective pharmaceutical services in support of PMI objectives. To this end, and based on the PMI’s priorities, SIAPS endeavors to improve pharmaceutical governance, build capacity to manage malaria products while addressing the information needed for managing them, strengthen financing strategies and mechanisms to improve access to malaria medicines, and improve the quality of pharmaceutical services provided to malaria patients.
The SIAPS technical approach emphasizes health systems strengthening with a special focus on improving metrics, monitoring and evaluation (M&E), developing the capacity of local governments and organizations, and increasing country ownership. Through this approach, SIAPS aims to promote the availability and use of malaria products, including artemisinin-based combination therapy (ACT), rapid diagnostic tests (RDT), and medicines for severe malaria. At the country level, SIAPS collaborates with national malaria control programs and Central Medical Stores (CMS) to develop and implement strategies to strengthen pharmaceutical management to prevent and improve case management of malaria. Areas supported by SIAPS include: training; quantification; strengthening supply chain systems, including logistics management information; community and malaria case management; rational use; and medication safety. SIAPS works to strengthen malaria pharmaceutical management at the national level in Angola, Burundi, the Democratic Republic of the Congo (DRC), Ethiopia, Guinea, Mali, Niger, and South Sudan. In addition, SIAPS provides regional support in Latin America.
This report describes the major activities that SIAPS conducted at the global level and in each of the countries and region mentioned above between January and March 2016.
Strengthening Local Capacity to Establish or Improve Performance of Drug and Therapeutics Committees in Low- and Middle-Income Countries
Getahun W., Berrada S., Joshi M.P., Mulongo R., Tuala Tuala R., Shongwe K., Ludman M., Bay N. Strengthening Local Capacity to Establish or Improve Performance of Drug and Therapeutics Committees in Low- and Middle-Income Countries. Poster presented at the 75th International Pharmaceutical Federation (FIP) World Congress, Dusseldorf, Germany, 29 September to 3 October 2015.